Jacob, Lena

Jacob, Lena is an individual health care provider with primary practice located at 2280 Inwood Rd , Dallas TX 75390-4009. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Jacob, Lena can be contacted via phone (214) 645-8525.

Contact Information

Primary practice address
2280 Inwood Rd Dallas TX 75390-4009
Phone: (214) 645-8525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X PA09496 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA09496 Texas

Profile Details

NPI number 1104214402
LBN Legal business name Jacob, Lena
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2015
Last updated Dec 18th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104214402 NPPES
Texas Other 8844NU BCBS
Texas MEDICAID 355290301 BCBS

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